Individual provider Active NPI

Jennifer Robinson, LICSW

  • Clinical Social Worker
  • Grove City, OH
National Provider Identifier
1124563630
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304412 Issued in OH
Practice address
5876 Buckeye Pkwy
Grove City, OH 43123-8380
Phone
(614) 407-5248
Fax
(000) 000-0000
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68763 CA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I.2304412 OH Primary

Addresses

Primary practice location

5876 Buckeye Pkwy
Grove City, OH 43123-8380

Mailing address

5876 Buckeye Pkwy
Grove City, OH 43123-8380
Phone (614) 407-5248

Other practice location 1

2425 Enborg Ln
San Jose, CA 95128-2648
Phone (408) 793-1941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918003105 OH Practitioner - Clinical Social Worker 3779915715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5876 Buckeye Pkwy
Grove City, OH 43123-8380

PO Box
Suite 165
New Concord, OH 43762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68763CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Vibes, LLC Clinical CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1124563630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5876 BUCKEYE PKWY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238380",
            "telephone_number": "614-407-5248",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5876 BUCKEYE PKWY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238380",
            "telephone_number": "614-407-5248",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Enborg Ln",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282648",
            "country_code": "US",
            "telephone_number": "408-793-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "68763",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.